Individual
MS. TONI LISA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1527 MADISON ST, FREDONIA, KS 66736-1751
(620) 378-2121
Mailing address
3600 GABRIEL AVE APT 301, APT 301, PARSONS, KS 67357-2165
(620) 423-9148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-91254-041
KS
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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